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aoid3i��p,� 7G52U36I21 <br /> .ASI CONSULTANTS ,� <br /> PAGE 02 <br /> ENVIRONMENTAL <br /> 92 <br /> D a �- !�'+'jl![; SAN JOAQUIN COUNTY � H PAGt; <br /> ��l-} ENVIRONMENTAL, HEALTH IMPARTMENT <br /> 344 EAST'WEEi:R AVENUE,Ti FOR <br /> �I J UN 1 0 2003 STOCICTON CA 9520. { <br /> 11 <br /> PUBLIC RECORDS RELEASE APPLI�A�r f <br /> E;' CN <br /> ia <br /> �-� <br /> ADDRESS C) ^---�__wpull <br /> GUSINESSIACeNCY I. <br /> PRONE 6•�� C, t C1: <br /> FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE <br /> lk � 50111 <br /> (Plemc gver Io 18 buse� ?ays iI1'�71h1E <br /> if'oRr dabs af�ppllcatian�u!:r�d'tfal} <br /> '+' <br /> CHECK BOX TO]�XPEDITE REQMS1-189.00 FM--REQUE 3T PROCESSED IN 3 ai SINESS DAY3 ` <br /> { <br /> VAlfSlO1�ATUR1;OF APPLICANT <br /> 1 <br /> Do'ATE. C2 t? f J <br /> j _ VVV <br /> FILE ADRftESa^ THIS 5117E EH'13'STAFF USE ONLY <br /> �` 'Lod; ✓ �- <br /> an <br /> ------------ <br /> ENIVIRONMENTAL HEALTH DIVISION>~ILES <br /> UNDERGROUNO TANK N37)CLEANUP SITE(LOP) O "0t=PiG ABATEMENT <br /> OTHER CLEANUP SrM(NtNm�i.OP1 ❑ I=OOD r Ac�Lfrl' � A SOLID WH ITE FA0AX.rY <br /> UNDERGROUND TANK(M0N1TOFINGJREM()vAL ❑- _ �I C7 SC)I,1�:1 WAr'iTE 1/I 1�l�GLE <br /> HAZARDOUS WAM GrWERATOR ) ❑ Ly�JCKE�N NRANCH `� ❑ lD°Hl6 11'REf1 itiACWT PLANT <br /> I3 TIERED i�ERAvYPS FACILITY �1 MOTELIHOTEL, 1� ❑. PL.iIVIVER TN:UC1frfARL1l HE'Id TOILETS <br /> d TATTO0IBOOYPZwIRCING p <br /> PO",PA PA ❑ LA1! USE:APPLICATION Sri <br /> Q MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) J�11 <br /> 'I. hist up to ten addresses in the s(Oace above. Select the s cif i,1es arot�s to r.Gist above by chgaEcir�g <br /> the a ro nate box(es). At least one file o, type(s) 1 <br /> pP p � n . MUST be Se ecte +� <br /> typo, tl_ 1 ax L. 209 4t-4--0-1 ja <br /> address indi ted above. .�..•,I_�a�n7�ail to the <br /> 2. EHD will natffy the appllcant if any EHID files 0xist An appolntm �nt for revieW will be confi Zed <br /> rrI <br /> approximately f Ve business days but no later than ten (10) days after rr�ice!lpt C4 appiication. Tho fila^ <br /> Will behold for a MaXimum aF five business days for reAew. Appointtnrini;s si(auld l)e schedralcd <br /> accordingly. <br /> 3. A file that is actively being worked on try EMD staff may not be im'mediai;eiy av�iiaUle for rovi+wv. q new <br /> may he submitted when the file is avallable. q <br /> 4• Any file not returned in the same condition as released will be rearganV;ect by HHD staff at thta eApgnae <br /> of the applicant. Future file reviews by the same applicant may require $89.(70 deposit prior to review. <br /> EN <br /> 5• "TTi appointment dates must be confirmed with END staff. .'i <br /> S. Applications raceived after 3.00 pm will be processed the next bu6esq,d-ay. <br /> CON RME13 APPOINTMEW DATE TIMR i! <br /> DATE CONFfi -" PE IONS FAX I. INI'i'1G'1t..S <br /> REVIEWED YES ?VO RME,W DAi <br /> 910 4;TEO65 <br /> } <br />